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<title>甘油三酯超过多少需要吃药？最新血脂指南：一类新药大家需要了解-北京自游侠科技有限责任公司</title>
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          <h1>甘油三酯超过多少需要吃药？最新血脂指南：一类新药大家需要了解</h1>
          <div class="desc"> <span>作者：北京自游侠科技有限责任公司</span> <span>发布时间：2024-02-07</span><span>点击：29</span> </div>
          <div class="txt" id="maximg"> <p style="padding: 0px; margin-top: 0px; margin-bottom: 0px; color: rgb(51, 51, 51); font-family: &quot;Microsoft Yahei&quot;; font-size: 18px; text-wrap: wrap;">这已经是小刘<strong style="padding: 0px; margin: 0px;">第6次</strong>因为<strong style="padding: 0px; margin: 0px;">胰腺炎</strong>住院了。</p><p style="padding: 0px; margin-top: 22px; margin-bottom: 0px; color: rgb(51, 51, 51); font-family: &quot;Microsoft Yahei&quot;; font-size: 18px; text-wrap: wrap;">护士给他抽血时，发现血液有明显的分层，外层为明显的乳白色油脂，看起来如牛奶一般，这种现象被称之为“牛奶血”。</p><p style="padding: 0px; margin-top: 22px; margin-bottom: 0px; color: rgb(51, 51, 51); font-family: &quot;Microsoft Yahei&quot;; font-size: 18px; text-wrap: wrap;">一查小刘的甘油三酯、胆固醇水平都比正常值高出数倍，要知道<strong style="padding: 0px; margin: 0px;">甘油三酯水平超过10就随时都有发生胰腺炎的风险</strong>。</p><p style="padding: 0px; margin-top: 22px; margin-bottom: 0px; color: rgb(51, 51, 51); font-family: &quot;Microsoft Yahei&quot;; font-size: 18px; text-wrap: wrap;">此次住院，医生给他下了最后通牒，必须立刻减肥，否则可能会威胁生命安全。<br></p><center style="padding: 0px; margin: 0px; color: rgb(51, 51, 51); font-family: &quot;Microsoft Yahei&quot;; font-size: 18px; text-wrap: wrap;"><img src="./static/upload/image/20240226/1708916633211219.jpg" style="padding: 0px; margin: 0px auto; border: 0px; vertical-align: top;"></center><p style="padding: 0px; margin-top: 22px; margin-bottom: 0px; color: rgb(51, 51, 51); font-family: &quot;Microsoft Yahei&quot;; font-size: 18px; text-wrap: wrap;"><strong style="padding: 0px; margin: 0px;">一、“甘油三酯”超过这个数，离心梗又近了一步</strong></p><p style="padding: 0px; margin-top: 22px; margin-bottom: 0px; color: rgb(51, 51, 51); font-family: &quot;Microsoft Yahei&quot;; font-size: 18px; text-wrap: wrap;">一提到血脂，相信很多人第一时间想到就是胆固醇，但其实血脂中还要一种成分，那就是<strong style="padding: 0px; margin: 0px;">甘油三酯</strong>，这项也是人们往往最容易在体检时忽视的指标。</p><p style="padding: 0px; margin-top: 22px; margin-bottom: 0px; color: rgb(51, 51, 51); font-family: &quot;Microsoft Yahei&quot;; font-size: 18px; text-wrap: wrap;">甘油三酯其实就是脂肪，也是“<span style="padding: 0px; margin: 0px;">油</span>”的学名，<strong style="padding: 0px; margin: 0px;">正常情况下</strong>人体内甘油三酯的指标应该<strong style="padding: 0px; margin: 0px;">为0.45~1.69mmol/L</strong>。其可参与体内胆固醇代谢，与总胆固醇、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇同为血脂检查的基本项目。<span style="padding: 0px; margin: 0px; text-align: center;"></span></p><center style="padding: 0px; margin: 0px; color: rgb(51, 51, 51); font-family: &quot;Microsoft Yahei&quot;; font-size: 18px; text-wrap: wrap;"><center style="padding: 0px; margin: 0px;"><img src="https://pimg.39.net/PictureLib/A/f76/20231120/org_1726518425980903442.jpg" style="padding: 0px; margin: 0px auto; border: 0px; vertical-align: top;"></center></center><p style="padding: 0px; margin-top: 22px; margin-bottom: 0px; color: rgb(51, 51, 51); font-family: &quot;Microsoft Yahei&quot;; font-size: 18px; text-wrap: wrap;">一项基于开滦研究6万余人的研究发现，<strong style="padding: 0px; margin: 0px;">甘油三酯水平的升高，也是导致动脉粥样硬化的重要危险因素。</strong></p><p style="padding: 0px; margin-top: 22px; margin-bottom: 0px; color: rgb(51, 51, 51); font-family: &quot;Microsoft Yahei&quot;; font-size: 18px; text-wrap: wrap;">研究人员对6.4万余名中青年进行了调查，根据体内甘油三酯水平的高低将受试者分为三组，分别为&lt;1.02、1.02~1.66、&gt;1.66mmol/L，对受试者进行了近11年的随访。</p><p style="padding: 0px; margin-top: 22px; margin-bottom: 0px; color: rgb(51, 51, 51); font-family: &quot;Microsoft Yahei&quot;; font-size: 18px; text-wrap: wrap;">结果发现，三组受试者的心梗发病率分别为0.23%、0.4%、0.69%，密度分别为0.25/千人年、0.46/千人年、0.8/千人年。通过数据不难看出，甘油三酯水平升高是<strong style="padding: 0px; margin: 0px;">影响心梗发生的独立危险因素。</strong></p><center style="padding: 0px; margin: 0px; color: rgb(51, 51, 51); font-family: &quot;Microsoft Yahei&quot;; font-size: 18px; text-wrap: wrap;"><img src="./static/upload/image/20240226/1708916633381296.jpg" style="padding: 0px; margin: 0px auto; border: 0px; vertical-align: top;"></center><p style="padding: 0px; margin-top: 22px; margin-bottom: 0px; color: rgb(51, 51, 51); font-family: &quot;Microsoft Yahei&quot;; font-size: 18px; text-wrap: wrap;">此外，甘油三酯水平升高还会引起<strong style="padding: 0px; margin: 0px;">糖尿病、心血管疾病、脂肪肝、慢性肾脏病、急性胰腺炎</strong>等疾病的发生。日常一旦发现自己的甘油三酯水平上升，一定要引起足够的重视，尽早进行干预。</p><p style="padding: 0px; margin-top: 22px; margin-bottom: 0px; color: rgb(51, 51, 51); font-family: &quot;Microsoft Yahei&quot;; font-size: 18px; text-wrap: wrap;"><strong style="padding: 0px; margin: 0px;">二、甘油三酯超过多少需要吃药？</strong></p><p style="padding: 0px; margin-top: 22px; margin-bottom: 0px; color: rgb(51, 51, 51); font-family: &quot;Microsoft Yahei&quot;; font-size: 18px; text-wrap: wrap;">虽说甘油三酯的正常指标为0.45~1.69mmol/L，但诊断为<strong style="padding: 0px; margin: 0px;">高甘油三酯血脂</strong>需要数值<strong style="padding: 0px; margin: 0px;">≥2.26mmol/L</strong>，指标处于1.7~2.26mmol/L之间时为边缘升高，<strong style="padding: 0px; margin: 0px;">指标≥5.6mmol/L时需要立即服用药物进行干预。</strong></p><center style="padding: 0px; margin: 0px; color: rgb(51, 51, 51); font-family: &quot;Microsoft Yahei&quot;; font-size: 18px; text-wrap: wrap;"><img src="./static/upload/image/20240226/1708916634213230.jpg" style="padding: 0px; margin: 0px auto; border: 0px; vertical-align: top;"></center><p style="padding: 0px; margin-top: 22px; margin-bottom: 0px; color: rgb(51, 51, 51); font-family: &quot;Microsoft Yahei&quot;; font-size: 18px; text-wrap: wrap;"><strong style="padding: 0px; margin: 0px;">2023版《中国血脂管理指南》</strong>中明确提出，一旦体内甘油三酯的水平<strong style="padding: 0px; margin: 0px;">≥5.6mmol/L</strong>，那么患者罹患<strong style="padding: 0px; margin: 0px;">急性胰腺炎的风险会明显增加</strong>。为了预防胰腺炎，一定要要尽早服用药物进行干预。</p><p style="padding: 0px; margin-top: 22px; margin-bottom: 0px; color: rgb(51, 51, 51); font-family: &quot;Microsoft Yahei&quot;; font-size: 18px; text-wrap: wrap;">如果甘油三酯水平在5.6mmol/L以下，身体没有其他心血管疾病，且总胆固醇、低密度脂蛋白胆固醇指标均正常的话，可以先不用吃药，<strong style="padding: 0px; margin: 0px;">先控制饮食3个月后再复查</strong>。若是在控制饮食后甘油三酯水平依旧没有下降的话，则需要服用药物进行干预。</p><center style="padding: 0px; margin: 0px; color: rgb(51, 51, 51); font-family: &quot;Microsoft Yahei&quot;; font-size: 18px; text-wrap: wrap;"><img src="./static/upload/image/20240226/1708916634107141.jpg" style="padding: 0px; margin: 0px auto; border: 0px; vertical-align: top;"></center><p style="padding: 0px; margin-top: 22px; margin-bottom: 0px; color: rgb(51, 51, 51); font-family: &quot;Microsoft Yahei&quot;; font-size: 18px; text-wrap: wrap;">但其实，无论甘油三酯水平是轻度升高还是重度升高，<strong style="padding: 0px; margin: 0px;">生活方式干预都是治疗基础</strong>。</p><p style="padding: 0px; margin-top: 22px; margin-bottom: 0px; color: rgb(51, 51, 51); font-family: &quot;Microsoft Yahei&quot;; font-size: 18px; text-wrap: wrap;"><strong style="padding: 0px; margin: 0px;">《高甘油三酯血症临床管理多学科专家共识》</strong>指出，至少每周要进行150分钟中等强度或75分钟高强度运动，超重/肥胖的人群要适当增加运动量；饮食上要注意控制，包括精制碳水化合物、含糖饮料、高热量食物等。</p><center style="padding: 0px; margin: 0px; color: rgb(51, 51, 51); font-family: &quot;Microsoft Yahei&quot;; font-size: 18px; text-wrap: wrap;"><img src="./static/upload/image/20240226/1708916634127934.jpg" style="padding: 0px; margin: 0px auto; border: 0px; vertical-align: top;"></center><p style="padding: 0px; margin-top: 22px; margin-bottom: 0px; color: rgb(51, 51, 51); font-family: &quot;Microsoft Yahei&quot;; font-size: 18px; text-wrap: wrap;"><strong style="padding: 0px; margin: 0px;">三、50岁后，这4种“甘油三酯大户”尽早忌口</strong></p><p style="padding: 0px; margin-top: 22px; margin-bottom: 0px; color: rgb(51, 51, 51); font-family: &quot;Microsoft Yahei&quot;; font-size: 18px; text-wrap: wrap;">对于中老年人来说，本身身体的代谢能力较差，在饮食上尤其需要注意，这几种食物要尽量少吃。</p><p style="padding: 0px; margin-top: 22px; margin-bottom: 0px; color: rgb(51, 51, 51); font-family: &quot;Microsoft Yahei&quot;; font-size: 18px; text-wrap: wrap;"><strong style="padding: 0px; margin: 0px;">1、鸡皮</strong></p><p style="padding: 0px; margin-top: 22px; margin-bottom: 0px; color: rgb(51, 51, 51); font-family: &quot;Microsoft Yahei&quot;; font-size: 18px; text-wrap: wrap;">鸡皮是鸡的肌肤组织，内里有大量的脂肪成分，10g鸡皮内的脂肪含量可达到5g，是甘油三酯水平极高的食物。</p><p style="padding: 0px; margin-top: 22px; margin-bottom: 0px; color: rgb(51, 51, 51); font-family: &quot;Microsoft Yahei&quot;; font-size: 18px; text-wrap: wrap;"><strong style="padding: 0px; margin: 0px;">2、咸鸭蛋</strong></p><p style="padding: 0px; margin-top: 22px; margin-bottom: 0px; color: rgb(51, 51, 51); font-family: &quot;Microsoft Yahei&quot;; font-size: 18px; text-wrap: wrap;">鸭蛋本身甘油三酯含量就不低，相较于鸡蛋高了2~3倍。经过精制的咸鸭蛋，脂肪、盐分等均会上升，日常要尽量少吃。</p><center style="padding: 0px; margin: 0px; color: rgb(51, 51, 51); font-family: &quot;Microsoft Yahei&quot;; font-size: 18px; text-wrap: wrap;"><img src="./static/upload/image/20240226/1708916634151514.jpg" style="padding: 0px; margin: 0px auto; border: 0px; vertical-align: top;"></center><p style="padding: 0px; margin-top: 22px; margin-bottom: 0px; color: rgb(51, 51, 51); font-family: &quot;Microsoft Yahei&quot;; font-size: 18px; text-wrap: wrap;"><strong style="padding: 0px; margin: 0px;">3、酒精</strong></p><p style="padding: 0px; margin-top: 22px; margin-bottom: 0px; color: rgb(51, 51, 51); font-family: &quot;Microsoft Yahei&quot;; font-size: 18px; text-wrap: wrap;">酒精进入体内后会导致甘油三酯水平上升，对于本身甘油三酯水平高的人来说，无疑是在雪上加霜。</p><p style="padding: 0px; margin-top: 22px; margin-bottom: 0px; color: rgb(51, 51, 51); font-family: &quot;Microsoft Yahei&quot;; font-size: 18px; text-wrap: wrap;"><strong style="padding: 0px; margin: 0px;">4、烤肉</strong></p><p style="padding: 0px; margin-top: 22px; margin-bottom: 0px; color: rgb(51, 51, 51); font-family: &quot;Microsoft Yahei&quot;; font-size: 18px; text-wrap: wrap;">肉类在经过烤制后，内里会有大量的脂肪、胆固醇，尤其是肥肉、动物内脏，内里的胆固醇含量会更高。</p><p style="padding: 0px; margin-top: 22px; margin-bottom: 0px; color: rgb(51, 51, 51); font-family: &quot;Microsoft Yahei&quot;; font-size: 18px; text-wrap: wrap;">需要注意的是，家族内有<strong style="padding: 0px; margin: 0px;">心血管疾病病史、身体肥胖、患有三高</strong>以及<strong style="padding: 0px; margin: 0px;">身上有黄色瘤</strong>的人群，要重点监测甘油三酯，定期检测，发现异常后及时干预。</p><center style="padding: 0px; margin: 0px; color: rgb(51, 51, 51); font-family: &quot;Microsoft Yahei&quot;; font-size: 18px; text-wrap: wrap;"><img src="./static/upload/image/20240226/1708916634103298.jpg" style="padding: 0px; margin: 0px auto; border: 0px; vertical-align: top;"></center><p style="padding: 0px; margin-top: 22px; margin-bottom: 0px; color: rgb(51, 51, 51); font-family: &quot;Microsoft Yahei&quot;; font-size: 18px; text-wrap: wrap;">现代人很多都有甘油三酯水平高的问题，但很多人对此没有引起足够的重视，这个做法非常不正确。一旦发现指标升高，要及时调整饮食或服药进行治疗。</p><p><br></p> </div>
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